Rev Bras Oftalmol.2025;84:e0075

Dead bag syndrome: a suspicious bilateral case

Mário César , Antonio Carlos , Isabela Reginato , Willy Luís Chacón , Antonio Atalibio

DOI: 10.37039/1982.8551.20250075

ABSTRACT

Dead bag syndrome is one of the recently described causes of late intraocular lens dislocation. Its etiology is not yet fully understood, but it is related to the reduction or disappearance of lens epithelial cells with subsequent disaggregation of the capsular tissue. This study describes a case of late intraocular lens dislocation with confirmed disappearance of lens epithelial cells through histopathology. The contralateral eye appears to show clinical features consistent with dead bag syndrome. The eye affected by intraocular lens dislocation was treated with vitrectomy, during which capsule material was collected for histology, the displaced lens was explanted, and a new lens was sutured to the sclera, achieving a final visual acuity of 20/25.

Dead bag syndrome: a suspicious bilateral case

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